CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: The Medical Center of Southeast Texas

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $5
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at The Medical Center of Southeast Texas is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 1.27x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.95 (100%)
Cash / Self-Pay: $274 (6937%)
Insurance Median: $5 (127%)
Cash: $274 (6937% of Medicare)
Ins. Median: $5 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $2 - $5 51%
Community Health Choice $3 - $5 76%
Community Health Choice Uhrip $3 76%
Harbor Hospice $3 76%
Medicaid / KanCare $3 - $4 76%
Medsolutions $3 76%
Molina Healthcare $3 - $5 76%
Superior Healthplan $3 - $4 76%
Texas Childrens Health Plan $3 76%
Amerigroup $4 - $22 101%
Beacon Health $4 101%
Blue Cross Blue Shield $4 - $113 101%
Caresact $4 101%
Cccn Pro Advantage $4 101%
Cigna $4 - $192 101%
Employer Direct Healthcare $4 - $5 101%
Healthspring $4 101%
Hospice $4 101%
Humana $4 - $10 101%
League Medical Concepts $4 101%
Medicare (plans) $4 101%
Provider Partners Health Plan $4 101%
Rice Land Hospice $4 101%
Selectcare $4 101%
Texas Medical Management Partners $4 - $5 101%
Tihp (Texas Independence Health Plan) $4 101%
Tricare $4 101%
Triwest $4 101%
Wellcare Of Texas $4 101%
Wellpath $4 101%
Corporate Remedies $6 152%
Elap Services $8 203%
Texas Workers Compensation $8 203%
Self Pay Emergent $41 1038%
Dept Of Assistive And Rehabilitative Services $137 3468%
Aetna $159 - $181 4025%
Iasis Employees $164 4152%
Magellan Behavioral Health $164 4152%
First Health $192 4861%
Galaxy Health Network $192 4861%
Private Healthcare Systems $192 4861%
Texas Municipal League $192 4861%
Healthsmart $205 5190%
Multiplan $219 5544%
Commercial Non-Contracted $274 6937%
Heart To Heart Hospice $274 6937%
Lifesynch $274 6937%
Mhnet $274 6937%
Self Pay - Mcd Pending 100 Percent $274 6937%
Single Case Agreement $274 6937%
United Behavioral Health $274 6937%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals